including all LOB (e.g., MediCal/Medicaid, Commercial, Medicare) Remote Serve as a Consulting team lead and Subject Matter...
and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free...
technology, pharmacy benefit management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience... Responsibilities Lead the development and delivery of healthcare and PBM products, with a focus on Medicare and Medicaid claims...
. Certainpositions may be subject to additional requirements under federal programs,including CMS, Medicare, and Medicaid regulations...
. Certainpositions may be subject to additional requirements under federal programs,including CMS, Medicare, and Medicaid regulations...
insurance, Medicare, Medicaid, and third-party payers Knowledge of referrals, prior authorizations, and insurance eligibility... insurance plans, Medicare, Medicaid, and payer guidelines Knowledge of medical referrals, authorizations, and benefits...
eligibility for public benefits such as the Medicaid program administered by HFS. The ideal candidate will have a high attention..., and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs...
, Medicare, Medicaid, CMS, claims, or population health data. Experience utilizing SQL, Python, Databricks, Power BI, Tableau...
Medicaid environment. Serve as the Functional Area Business Lead for CLTS and act as the primary business analysis point... initiatives. 5+ years of experience in Medicaid, healthcare, government programs, or other highly regulated environments. Proven...
skills in all interactions with patients, co-workers, insurance companies, physicians, etc. Knowledge of Medicare, Medicaid...